Evidence map›Paper›PMID 27028854›Full record

ArticleOncotarget2016

DNA promoter hypermethylation in nipple fluid: a potential tool for early breast cancer detection.

Jolien S de Groot, Cathy B Moelans, Sjoerd G Elias, Mary Jo Fackler, Robert van Domselaar, Karijn P M Suijkerbuijk, Arjen J Witkamp, Saraswati Sukumar, Paul J van Diest, Elsken van der Wall

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

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  13. Breast health screening: a UK-wide questionnaire.BMJ nutrition, prevention & health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Jolien S de GrootDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Cathy B MoelansDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Sjoerd G EliasJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Mary Jo FacklerDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, USA.
Robert van DomselaarDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Karijn P M SuijkerbuijkDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Arjen J WitkampDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Saraswati SukumarDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, USA.
Paul J van DiestDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Elsken van der WallDepartment of Medical Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLJohns Hopkins Medicine · USJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNipple fluid aspiration provides direct non-invasive sampling of fluid from the mammary ductal system, where the majority of breast cancers originate. DNA promoter hypermethylation ("methylation") occurs early and at high frequency in breast carcinogenesis, bearing the potential as a biomarker for cancer detection at its earliest stages. We assessed methylation in nipple fluid from breasts of healthy women, of women with sporadic breast cancer and of their contralateral breasts. Our goal was to investigate whether nipple fluid can be used as a reliable methylation biomarker source. MATERIALS AND

methodsMethylation levels of 13 genes were analysed by quantitative multiplex-methylation specific PCR (QM-MSP) in nipple fluid samples from breasts of healthy women, and from the affected and contralateral breasts of breast cancer patients.

resultsMethylation analysis of the low-volume nipple fluid samples was feasible. Despite the generally low methylation levels, cancerous and healthy breasts nipple fluid could be discriminated with an area under the receiver operating characteristic curve (AUC) of 0.64 (p<0.01) based on a multivariate model including AKR1B1, ALX1, RASSF1A and TM6SF1. Within-patient differences between cancerous and contralateral nipple fluid samples were less prominent.

conclusionsCancerous nipple fluid contains increased levels of methylation of tumor suppressor genes that potentially could serve as a biomarker for early breast cancer detection.

Indexed as

DNA MethylationBreast NeoplasmsDNA, NeoplasmEarly Detection of CancerFemaleHumansMiddle AgedNipple Aspirate FluidDNA, Neoplasmbreast cancermethylationnipple fluid

Identifiers

PMID27028854
PMCPMC5029741
OpenAlexW2328090793

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.